Chylous Ascites: Reassessment of Diagnostic Criteria in Patients With Portal Hypertension

The triglyceride (TG) threshold for diagnosis of chylous ascites in patients with portal hypertension remains uncertain. Retrospective analysis of lipoprotein electrophoresis was conducted in 286 consecutive ascites samples. Ascitic TG ≥ 81 mg/dL is 95.4% sensitive and 94.6% specific for chylous asc...

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Published inThe American journal of gastroenterology Vol. 118; no. 2; pp. 364 - 366
Main Authors Matchett, Caroline L, Rattan, Puru, McConnell, Joseph P, Donato, Leslie J, Simonetto, Douglas A, Kamath, Patrick S
Format Journal Article
LanguageEnglish
Published United States Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01.02.2023
Subjects
Abdomen
Ascites
Chylous Ascites - diagnosis
Chylous Ascites - etiology
Gastroenterology
Humans
Hypertension
Hypertension, Portal - complications
Hypertension, Portal - diagnosis
Laboratories
Lipoproteins
Liver cirrhosis
Retrospective Studies
Triglycerides
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Summary:The triglyceride (TG) threshold for diagnosis of chylous ascites in patients with portal hypertension remains uncertain. Retrospective analysis of lipoprotein electrophoresis was conducted in 286 consecutive ascites samples. Ascitic TG ≥ 81 mg/dL is 95.4% sensitive and 94.6% specific for chylous ascites diagnosed by the presence of significant chylomicron population. The cutoff for chylous ascites diagnosis should be TG ≥ 81 mg/dL.
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ISSN:0002-9270
1572-0241
DOI:10.14309/ajg.0000000000002072